NPIMap

Organization Active NPI

Innova Recovery, PLLC

Doing business as Innova Recovery Center

  • Adult Mental Health Clinic/Center
  • Honolulu, HI
National Provider Identifier
1487374195
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
INNOVA RECOVERY, PLLC
Doing business as
Innova Recovery Center
Practice address
1003 Bishop St Ste 2700
Honolulu, HI 96813-6475
Phone
(210) 254-3618
NPI assigned
Sep 1, 2022
Last updated
Sep 1, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
INNOVA RECOVERYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kasi Howard, PSYD
Title
Owner
Phone
(210) 254-3618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

1003 Bishop St Ste 2700
Honolulu, HI 96813-6475

Mailing address

1842 Lockhill Selma Rd Ste 102
San Antonio, TX 78213-1559

Other names 1

  • Innova Recovery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Innova Recovery PLLC6 organizations share this tax ID, including this one
Part of
Innova Recovery PLLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1487374195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 LOCKHILL SELMA RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131559",
            "fax_number": "210-881-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 BISHOP ST STE 2700",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136475",
            "telephone_number": "210-254-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVA RECOVERY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVA RECOVERY",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "KASI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-254-3618",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innova Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.